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pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
January 01, 2020 - and analysis helped prevent future
patient safety events
OIG Report: Patient Safety Organizations: Hospital … Privilege of PSWP
• PSWP Security Policies and Procedures
• Responding to Requests for PSWP
• CHS PSO Hospital … techniques from high-risk industries such as nuclear power and aviation, CHS is creating
inherently safe hospital … /Unassisted Falls
o By Diagnosis Group
• Injuries Resulting from
Falls/Unassisted Falls
o By Diagnosis … • COVID-19 Experience
• Flexibility and Teamwork in the age of COVID
• Reduction in Catheter-Associated
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pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
January 01, 2019 - Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector … Long-Term-Care
Hospitals (LTCH) Designated in Office of Inspector General
Report1 as Clearly Preventable … Adverse Events in Long-Term-Care
Hospitals: National Incidence Among Medicare Beneficiaries, OEI-06- … and pain) medications with frequent falls resulting in back pain
• Cascade with oversedation and hypotension … while on multiple opioids (oxycodone/
acetaminophen and fentanyl patch) resulting in multiple falls
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pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
July 01, 2016 - Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable … Hospitals Designated in Office of Inspector General Report1
as Clearly Preventable or Likely Preventable … Adverse Events in Rehabilitation Hospitals:
National Incidence Among Medicare Beneficiaries, OEI-06- … transfer to an acute-care hospital
• Hemorrhagic cystitis in patient associated with Foley catheter … transfer to an acute-care hospital
Sepsis
• Cascade event in which delayed recognition of pneumonia